应用改良的示指近节背侧皮瓣修复轻中度虎口挛缩

目的 介绍改良的示指近节背侧皮瓣在轻中度虎口挛缩治疗中的应用体会.方法 将原来的示指背侧岛状瓣或舌状瓣改成连同虎口一起的示指背侧局部转移皮瓣重建虎口,使皮瓣游离和虎口开大整体进行,简化了手术方法.结果 临床应用111例皮瓣全部成活,术后经3～18个月(平均8.5个月)的随访,局部外形美观,拇指功能恢复良好.虎口开大的优良率为94.6%.结论 改良的示指近节背侧皮瓣转位重建虎口是修复虎口挛缩的有效方法.

Apply improved first dorsal metacarpal flap to correct mild-to-moderate thumb web contracture realeasing

Objective To introduce the improvement of the flap from the dorsal site of the index in the application of treatment in the thumb web contracture. Methods Apply improved first dorsal metacarpal flap for 111 cases of patients of the thumb web contracture releasing. The original island or tongue-shaped flaps was modified to be the local flap transfer to the thumb web. Surgical method simplified. Before thumb web contracture was released, the flap was taken from ulnar aspect to radial aspect on the dorsum of the index. The flap was transferred to cover the soft tissue defect on the first web space following the contracture releasing. Flap donor area was closed by split-thickness skin graft. Results One hundred and eleven cases of flaps survived. After the 3-18 months (mean follow-up of 8.5 months), the local appearance, thumb function recovered well for 94.6 percent. Conclusion Improved first dorsal metacarpal flap is effective methods in thumb web contracture releasing.